PAUL B STAUDER (NPI# 1750479457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750479457 |
| Entity Type | Individual |
| Full Name | PAUL B STAUDER |
| Practice Address |
101 E Delaware St Suite C Fairfield IL 62837-2111 |
| Mailing Address |
Po Box 506 Fairfield IL 62837-0506 |
| Practice Telephone | 6188426516 |
| Mailing Telephone | 6188426516 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009085 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046009085 | 05 |
| Street Address |
101 E DELAWARE ST SUITE C |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1285293050 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1251 Nilles Rd Ste 2, Fairfield, OH 45014-7205 | 2019-06-06 |
| 1548729270 | Fratto Optometry Inc. | Optometrist | 1350 Travis Blvd Unit 1418a, Fairfield, CA 94533-3432 | 2019-03-12 |
| 1336625342 | Anita B. A. Singh | Optometrist | 1375 Kings Hwy Ste 300, Fairfield, CT 06824-5396 | 2018-07-12 |
| 1124510813 | Chandler-drakes Eyecare LLC | Optometrist | 19 Shoreham Ter, Fairfield, CT 06824-6226 | 2018-05-30 |
| 1528574415 | Hongping Xu | Optometrist | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2017-12-14 |
| 1871044545 | Diane Prather | Optometrist | 2035 185th St, Fairfield, IA 52556-9016 | 2016-10-18 |
| 1497137970 | Michelle Glass | Optometrist | 530 Wessel Dr Ste G, Fairfield, OH 45014-3651 | 2015-06-22 |
| 1568844132 | Christopher Garcia Jovez | Optometrist | 1967 Gentle Creek Dr, Fairfield, CA 94534-6701 | 2015-06-19 |
| 1285061598 | Caleb Poon | Optometrist | 1350 Travis Blvd # 1507a, Fairfield, CA 94533-4646 | 2013-10-01 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.